Diagnostic Laparoscopy +/- Extensive Adhesiolysis, +/- Chromotubation
A laparoscope is a thin, flexible tube with a lighted lens at the end. When inserted into the body which allows video visualisation with magnification abilities of the
- Fallopian tubes
Think of Laparoscopy as a minimally invasive imaging & operative diagnostic tools.performed under general anesthesia and usually in an outpatient setting.
Risks of Diagnostic Laparoscopy:
- Damage to: uterus, fallopian tubes, ovaries, bowel, or bladder.
- Possible scarring (adhesions)
Adhesiolysis or divisions of tissue scarring:
May alleviate pains of pelvic pain, infertility, bowel problems, and obstructions and must be performed by an experienced surgeon with preoperative bowel preps. laparoscopic procedures inherently have lower adhesion risks compared to laparotomies.
During Laparoscopy a uterine manipulator is inserted in the endometrial cavity and a blue dye is pushed through the vaginal end to observe spillage from fimbriated tubal ends into the pelvic cavity. This procedure can diagnose intrauterine intratubular obstruction or partial blockage. Patient must be screened for sexually transmitted diseases such as Gonorrhea and Chlamydia to reduce risks of pelvic inflammatory abscess formation.
Patients have a higher likelihood of spontaneous conception in the first two cycles post chromotubation.